Percutaneous Trans-trapezial fixation of acute Scaphoid fractures by Herbert screw

Aim of the work:

To assessment outcomes of percutaneous Trans-trapezial fixation of acute scaphoid fracture.

Operative Technique:

Anesthesia: carried out under general anesthesia or brachial plexus block and under tourniquet control.

Position: supine. Approach: Percutaneous Trans-trapezial fixation of acute Scaphoid fracture. Recording any intraoperative complication that may affect the result.

Postoperative Follow Up:

Short arm circular cast including the thumb will be applied. After 3 weeks, cast will be removed and exercises will start.

Inclusion Criteria:

• - Acute stable non displaced waist fracture (A2).
• Acute unstable oblique distal third (B1).
• Acute unstable displaced waist (B2).
• Acute un stable fracture dislocation (B4).
• Acute un stable comminuted fracture (B5).

Exclusion Criteria:

• - Acute stable fracture tubercle (A1).
• Acute unstable fracture proximal pole (B3).
• Delayed union fracture (C).
• Established non-union fracture includes fibrous (D1) and sclerotic (D2).
• Bilateral fractures because of possible interference with postoperative grip strength measurement.